Healthcare Provider Details
I. General information
NPI: 1194672519
Provider Name (Legal Business Name): WILD AND WELL COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/13/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 CENTRAL AVE STE 18B
GREAT FALLS MT
59401-3141
US
IV. Provider business mailing address
600 CENTRAL AVE STE 18B
GREAT FALLS MT
59401-3141
US
V. Phone/Fax
- Phone: 406-313-2401
- Fax:
- Phone: 406-313-2401
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MEGAN
DUNLAP
Title or Position: OWNER, THERAPIST
Credential: LCPC
Phone: 406-313-2401